Academic Reference

To school leader: Thank you for helping us with this referral. It will assist us in evaluating the applicant. Your confidential information will be used in assessing the student's application for admission. Because this reference is being submitted online, we may contact you to confirm the information submitted.

Please keep in mind that the applicant's file will not be reviewed until this form is completed.

Applicant Information

Please enter the applicant's information below.

Student's Name:*
Student's City:*
Student's State:*
Country (if other than USA):
Evaluation
Please evaluate the applicant by checking all characteristics that apply:
1. Leadership: never leads
good organizer
leads when asked
excellent leadership
unable to observe
2. Cooperation with others: causes friction
usually cooperative
avoids group activities
works well with others
unable to observe
3. Concern for others: self-centered
considerate
indifferent
unselfish
unable to observe
4. Choice of associates: questionable
somewhat discerning
careless
discerning in friendships
unable to observe
5. Level of motivation: strong determination
lacks motivation
positive attitude
shows little interest
unable to observe
6. Respect for authority: disrespectful
generally respectful
critical
honors those in authority
unable to observe
7. Spiritual integrity: inconsistent attitude and practices
high values
indifferent spiritual stance
consistent moral standards
unable to observe
8. How long have you have you been acquainted with the applicant?*
9. How well do you know the applicant?* very well
well
casually
10. To the best of your knowledge, has the applicant made a personal commitment to Jesus Christ?* Yes
No
Unsure
11. In what areas, if any, would the applicant need special assistance?
12. Please feel free to provide additional remarks which would assist in evaluating the applicant.
13. LeTourneau University seeks students who profess a vital Christian experience or are open to instruction in the Christian faith. The college admits students who are most likely to profit from LeTourneau's distinctly Christian emphasis and who are compatible with the standards of the university. To your knowledge, would the attitude or present conduct of the applicant make it difficult for him/her to adjust to these requirements?* Yes
No
14. If yes, please explain.
15. Do you recommend the applicant for admission to LeTourneau University?* Yes
No
Please contact me to discuss
Referrer Information
Name:*
Your Title:*
School/Employer:*
Email address:*
Address:
City:*
State:*
Zip/Postal Code:
Country (if other than USA):
Daytime Phone:*
Preferred time of phone contact (AM or PM)
All fields marked with an asterisk (*) are mandatory.
    
 

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